Individual provider Active NPI

David L Principe, M.D.

  • Maternal & Fetal Medicine Physician
  • Elmwood Park, NJ
National Provider Identifier
1417985391
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
25MA06339800 Issued in NJ
Practice address
1 Broadway
Suite 203
Elmwood Park, NJ 07407-1842
Phone
(973) 569-6264
Fax
(973) 569-6270
NPI assigned
Jun 29, 2006
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 25MA06339800 NJ Primary

Addresses

Primary practice location

1 Broadway
Suite 203
Elmwood Park, NJ 07407-1842

Mailing address

1 Broadway
Suite 203
Elmwood Park, NJ 07407-1842
Phone (973) 569-6264

Other identifiers 1

IdentifierTypeStateIssuer
25MA06339800OtherNJMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130517000006 NJ Practitioner - Obstetrics/Gynecology 8123265808 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Sep 15, 2014 Accepting new patients
New Jersey Medical and Health Associates,LLC CurrentSince Mar 3, 2013 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Apr 1, 2015 Accepting new patients
Pediatric Cardiology Associates PC Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

744 Broadway
Rear
Bayonne, NJ 07002
Phone (201) 436-8888

2 Brighton Rd
Ste 402
Clifton, NJ 07012
Phone (973) 532-2500

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

308 Willow Ave
Fl 1
Hoboken, NJ 07030
Phone (201) 620-3120

609 Washington St
Hoboken, NJ 07030
Phone (201) 659-7700

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

201 Lyons Ave
Ste L4
Newark, NJ 07112
Phone (973) 926-7205

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: david.principe.1@10948.direct.athenahealth.com
  • Direct secure messaging: david.principe@direct.carepointhealth.org
  • Direct secure messaging: david.principe@direct.hobokenumc.md
  • Direct secure messaging: dprincipe236822@direct.englewoodhealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1417985391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROADWAY",
            "address_2": "SUITE 203",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071842",
            "telephone_number": "973-569-6264",
            "fax_number": "973-569-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROADWAY",
            "address_2": "SUITE 203",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071842",
            "telephone_number": "973-569-6264",
            "fax_number": "973-569-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCIPE",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA06339800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA06339800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

Verify at the official NPI Registry.